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20 jobs similar to Outpatient/Provider Coder II

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US

  • Review clinical documentation and assign accurate CPT, ICD-10-CM, and HCPCS codes for diagnoses, procedures, and services rendered.
  • Monitor outpatient coding work queues and unbilled accounts to support timely filing and claims submission, while resolving coding-related edits.
  • Collaborate with providers and revenue cycle teams to improve documentation, ensure coding accuracy, and maintain compliance with regulations.

Impact Advisors, LLC is a nationally recognized healthcare management consulting firm delivering Best in KLAS advisory, implementation, and optimization services. We cultivate a caring, fun, honest, and autonomous work environment with a shared mission to create a positive impact.

US

  • Coder III demonstrates proficiency in coding high acuity inpatient accounts and/or technical outpatient accounts.
  • Utilizes ICD-10-CM, PCS, HCPCS, CPT, and other coding references for accurate coding.
  • Supports Revenue Cycle goals for timely billing.

Cooper University Health Care is committed to providing extraordinary health care. We offer competitive rates, comprehensive benefits, and opportunities for career growth.

Georgia

  • Responsible for coding procedures and entering charges to comply with federal/state regulations and internal policies.
  • Coordinate with Practice Coordinator and Revenue Integrity to ensure all necessary documentation is present to support selected procedure codes.
  • Participate in audits to evaluate coding accuracy and develop methodologies to improve coding issues identified.

Northside Hospital is an award-winning, state-of-the-art healthcare system. It is continuously growing and offers opportunities for healthcare professionals.

IL IN OH MO MI FL

  • Abstracts and codes physician professional services using CPT and ICD-9 codes.
  • Provides documentation feedback to physicians and trains staff on billing and coding.
  • Resolves pre-accounts receivable edits and ensures charge capture through reconciliations.

Northwestern Medicine is a healthcare leader with a patient-first approach. They offer competitive benefits like tuition reimbursement, loan forgiveness, 401(k) matching, and lifecycle benefits, supporting a diverse team dedicated to better healthcare.

US

  • Review and assign diagnostic and procedural codes from medical records with 95% accuracy.
  • Serve as a liaison between billing and clinical sites to resolve coding discrepancies.
  • Train new employees and act as an expert resource for coding compliance questions.

Munson Healthcare is northern Michigan's largest healthcare system with eight award-winning community hospitals serving over half a million residents. They emphasize a culture of excellence, teamness, positivity, and creativity with over 5,000 employees.

US 5w PTO 12w maternity 12w paternity

  • Manage and resolve claims rejections and denials, escalating trends as identified.
  • Verify patient eligibility and benefits, and coordinate with insurance payers.
  • Maintain compliance with HIPAA regulations and meet productivity standards.

Workit Health is an industry-leading provider of on-demand, evidence-based telemedicine care for addiction. They are a growing company with a dedicated team passionate about making judgment-free care accessible.

US 3w PTO

  • Audit outpatient and specialty claims to ensure coding accuracy, clinical validity, and medical necessity.
  • Utilize advanced coding knowledge and audit tools to identify billing issues and document findings.
  • Meet productivity and quality standards while recommending process improvements and new claim types.

Cotiviti is a healthcare analytics and auditing company that focuses on improving claims accuracy and reducing costs for clients. They are a mid-to-large sized employer with a culture that emphasizes quality, collaboration, and innovation in healthcare auditing.

  • Accurately correct coding-related denials for billing in Epic, including writing appeal letters.
  • Abstract operative reports in 3M and/or Epic while maintaining 95% accuracy or greater.
  • Ensure timely completion of patient accounts to meet department standards and goals.

Applied Medical Systems is a trusted partner for medical billing services, helping healthcare providers thrive through expert medical billing, coding, and practice management for over 45 years. The company has a stable, growing organization with a strong future and values a diverse and inclusive workplace.

$22–$35/hr
US

  • Assign ICD-CM/PCS, CPT, and HCPCS codes, modifiers, and MS-DRG/APC classifications.
  • Interact with medical staff, nursing, and ancillary departments to ensure accurate documentation and coding.
  • Meet quality standards of 95% correct diagnoses and procedures, and perform follow-up on rejected or denied encounters.

Sarah Bush Lincoln is a healthcare organization providing medical record management and coding services. They emphasize career development through continuing education and on-site training, fostering a culture of professional growth.

US 17w maternity 9w paternity

  • Review and abstract professional medical records to ensure accurate code assignment.
  • Assign ICD-10-CM, CPT, HCPCS, and applicable modifiers following national and payer-specific guidelines.
  • Maintain coding quality metrics and participate in coding audits.

We reimagine how people access care by bringing it directly into their homes. We have supported over 2 million patients across 22 states, completed over 130,000 in-home visits, and raised over $125M from top investors.

$85,000–$95,000/yr
US

  • Validate accuracy of CPT, HCPCS, revenue codes, and billed line-item charges on outpatient and inpatient facility claims.
  • Apply CMS guidance, coding guidelines, and industry standards during claim review, including hospital bill audits and itemized bill reviews.
  • Prepare appeal responses using applicable coding guidance and maintain required certifications and continuing education.

Trend Health Partners is a tech-enabled payment integrity company that facilitates collaboration between payers and providers to reduce waste and improve access to healthcare. They are a dynamic growing organization promoting a collaborative and innovative work environment.

US

  • Conduct coder QA, provide educational feedback, and develop performance improvement plans.
  • Prepare and present coding curricula and regulatory updates to coders and providers.
  • Utilize revenue cycle knowledge to analyze coding data, support audits, and maintain shared resources.

US Anesthesia Partners is a leading provider of anesthesia services and revenue cycle management. The company operates across the US and emphasizes a collaborative culture focused on compliance and quality.

$42–$42/hr
US

  • Conduct prospective chart reviews to validate ICD-10-CM and CPT coding accuracy.
  • Provide clinical documentation improvement feedback to providers on documentation gaps.
  • Ensure compliance with risk adjustment and regulatory coding guidelines.

Thyme Care is a cancer care navigation company transforming the cancer care experience through value-based care. They are building a diverse, mission-driven team to reshape the future of healthcare.

US

  • Prepares and submits hospital, physician, and clinic claims to third-party insurance carriers electronically or by hard copy.
  • Follows up with insurance carriers on unpaid claims and secures needed medical documentation.
  • Processes rejections by correcting billing errors and resubmitting claims to insurance carriers.

TruBridge provides innovative solutions that support the financial and clinical sides of healthcare delivery, connecting providers, patients, and communities. They foster a remote team culture that encourages pushing boundaries and thinking differently.

US

  • Assign ICD-10-CM, ICD-10-PCS, and DRG codes for inpatient accounts based on medical record documentation.
  • Query clinical providers when documentation is unclear and abstract pertinent data.
  • Maintain minimum quality and productivity standards while working remotely during core hours of 8:00 AM to 5:00 PM.

Saint Luke’s is a faith-based, nonprofit health system with 18 hospitals in Kansas City. It employs 12,000 people and fosters a collaborative, diverse, and inclusive culture focused on exceptional patient care.

$70,304–$89,535/yr
US 3w PTO

  • Assist with retrospective and concurrent coding for PACE Dual participants.
  • Conduct pre-visit chart preparations and post-visit chart reviews.
  • Oversee audits and participate in provider education programs to ensure compliance with CMS risk adjustment diagnosis coding guidelines.

WelbeHealth provides seniors with the opportunity to continue living in their homes through its PACE program. The company employs a collaborative interdisciplinary team approach and values diversity and inclusion.

US

  • Review inpatient coding (ICD-10-CM/PCS) to ensure accuracy and completeness for multiple clients.
  • Validate DRG assignments and optimize reimbursement while maintaining compliance with regulatory standards.
  • Collaborate with service line teams and client departments to improve documentation and meet production goals.

Kodiak Solutions specializes in healthcare finance, unclaimed property, risk management, and revenue cycle management. They use technology-driven solutions to help healthcare organizations streamline operations and improve patient care.

$70,000–$80,000/yr
US

  • Conducts baseline, routine, and focused audits comparing medical record documentation to reported CPT/HCPCS and ICD-10-CM codes.
  • Researches, interprets, and communicates federal and state laws and guidelines pertaining to CMS and Medicare.
  • Acts as an internal expert on coding issues to ensure compliance with state and federal regulations.

Privia Health is a technology-driven national physician enablement company that collaborates with medical groups, health plans, and health systems to optimize physician practices and improve patient experiences. The company is led by top industry talent and focuses on scalable operations and cloud-based technology to reduce healthcare costs.

US

  • Review anesthesia documentation for required elements such as attestations, signatures, and dates.
  • Abstract and code surgical procedures from CPT and crosswalk to ASA codes.
  • Meet team KPIs including daily production and quarterly coding audit score requirements.

US Anesthesia Partners provides anesthesia services and coding solutions. The company employs a large team and emphasizes a remote work culture with performance-based bonuses.

US

  • Review and abstract medical records for surgical CPT and ICD10 coding, ensuring accuracy and compliance.
  • Serve as a mentor for junior coders and handle escalated cases requiring complex coding expertise.
  • Work with multiple platforms including MD Cloud, Medaxion, and EMRs to manage edits, denials, and charge corrections.

US Anesthesia Partners is a healthcare company specializing in anesthesia services and revenue cycle management. They are a large employer with a focus on coding accuracy and compliance, fostering a collaborative and mentoring culture.